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The Multiscale Dissociation Inventory (MDI) is a comprehensive, self-administered, multiscale instrument developed by Paul F. Dell. [1] It is designed to assess the domain of dissociative phenomena. [2] The MDI measures 14 major facets of pathological dissociation and uses 23 scales to diagnose dissociative disorders. [1] [3]
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
Dissociation is commonly displayed on a continuum. [18] In mild cases, dissociation can be regarded as a coping mechanism or defense mechanism in seeking to master, minimize or tolerate stress – including boredom or conflict. [19] [20] [21] At the non-pathological end of the continuum, dissociation describes common events such as daydreaming.
The Dissociative Experiences Scale (DES) is a simple, quick, self-administered questionnaire that has been widely used to measure dissociative symptoms. [52] It has been used in hundreds of dissociative studies, and can detect depersonalization and derealization experiences. [53]
It contains twenty-eight questions and returns an overall score as well as four sub-scale results. [1] DES is intended to be a screening test, since only 17% of patients with scores over 30 will be diagnosed with having dissociative identity disorder. [2] Patients with lower scores above normal may have other post-traumatic conditions.
Otherwise, Erkfitz says, “Many therapists offer sliding scales, or your community or state may have options for public services that may be free or low-cost.”
The dissociative disorders listed in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) are as follows: [2] Dissociative identity disorder (DID, formerly multiple personality disorder): the alternation of two or more distinct personality states with impaired recall among ...
SIBAM is considered both a model of experience and a model of dissociation. [25] Multimodal therapy , developed by Arnold Lazarus in the 1970s, is similar to the SIBAM model in that it broke down experience into "Behavior, Affect, Sensation, Image, and Cognition (or Meaning)". [ 26 ]